Individual
ALISHA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 CHANDLER AVE STE 1, LAS VEGAS, NV 89120-4088
(702) 816-4639
Mailing address
185 E FORD AVE, LAS VEGAS, NV 89123-1664
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
NV
372600000X
Adult Companion
—
NV
3747P1801X
Personal Care Attendant
Primary
—
NV
376J00000X
Homemaker
—
NV
Other
Enumeration date
03/29/2018
Last updated
03/29/2018
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